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Home My WebLink AboutE2020-0408 - Permitsw y City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 -`; - Permit Counter Phone (949)644-3288 v �W{ nurh Ilp�E 20 200 4 0 8�� II Job Address: 209 41ST ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OVERHEAD TO UNDERGROUND W/UPGRADE OF (E) SERVICE PANEL 200 AMP HIGH DENSITY AREA Inspector Area: 1 Legal Description: CANAL SECTION BLK 141 LOT 10 Owner: SPRADLING PAUL G Contractor: Address: 6746 SOLANDRA DR Address: CARLSBAD, CA 92011 Phone: Phone: Con State Lic: Issued Date:08/11/2020 Lic Expire: /J Bus Lic: Processed By: y , Y Lic Exp Date: CONTORELLI CONSTRUCTION INC 30832 MARILYN DR LAGUNA BEACH CA 92651 949-290-4630 319552 08/31/2020 BT30065552 01/31/2021 New Construction Receptacle/Switch/Outlets Residential Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 1 $46.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over600V or1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 1 $46.00 Additional Fee: $0.00 TOTAL Fee: $129.00 Plan Electrical Permit: E2020-0408 Project No: Inspection Requests Phone (949)644-3255 z Code Edit: 2019 dJ• J Worker's Compensation Insurance M Carrier: STATE FUND Policy No: 9154910 Expire: 031l5/2021 CA FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 a 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $37.00 Supplemental Fee: $0.00 .Fee: $129.00 Fee Due at Permit Issuance: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m INER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throul improvements are not intended or offered for sale. If, however, the building or improvement is,sold within one year of cc improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrar ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .le Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjur`iIp/ h t I am licensed under provisions of Chapt r mmencing with Se i n 7 OC and effect. ``/nJJt License Class License No e Date WORKERS' COMPENSATION DECLARATION 01 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the oletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date 1 Division 3 of the Business and Prof i C , and license is in full force 9r Contractor Signatufe AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directo of Industrial Relations as provided for by Section 3700 of the Labor Code, for Jnnance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa rance carrier &4d_pol!cV numbeLare: A lame of Agent I V I • i 71 certify that, in the performance of IfIe work f r wh' h his permit is issued, I shall not employ any person in any manr tat, if I should becomes 'ject t.{q'��he w am' mp s tion provisions of Section 3700 of the Labor Code, I shall forth ignature of Applicant I l i iECLARATION RE41DING CONSTRUCTION LENDING AGENCY hereby affirm under fAnalty of perjury that there is a construction lending agency for the performance of the work for wl enders Name Lender's Address �y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' be f I have read this application and the information I have provided is re . I agree to comply with all applicable city and county orSii a s at a ws relating to building construction. I authorize representatives of this city or count o en th � bo A ti d property for inspection purposes. signature of Property Owner or Authorized Agerit Print Property Owner's or Date Phone # so as to become subject to the worker comp nsation laws of California, and agre, I comply with those provisions. '• J Date -IC I this permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMP€IANCEWITH CODE OF FORDFHCEUS£ONLY FEDERljj_RE•ATIONSPAR� 6ilOFTITLE4tIAND AQMDRI LEl�rtl. ❑ iS'U1C61tITED,4SMSTOSfR777FICItf4N2-0:- • . • • • Er. 'EFP4 • • ❑ AQMD • • '. PERMITEXPfRED PERMIT CANCELLED - PERMIT EXTENDED ❑ ASBESTOS M017RCA170MIS NOT APPLICABLE TO PROPOSJrV"OtITION. • s n • ° e • e • e PERMITFINA€ 9 CER77FIC4TE OF OCCUPANCYISSUED I SIGNAPkE • • •: s : ••